Adrian Ricketts Davies, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2026-0017 Issued in NM

Practice address

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303

Phone

(505) 281-5180

Fax

(505) 702-8171

NPI assigned

Jun 5, 2018

Last updated

Mar 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Adrian Kelly Ricketts Former name

Medicare fee-for-service enrollment

Enrolled in TN, KY, NM3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment Care Compare group
• Dayspring Health Inc

  dba Clear Fork Clinic

  • Federally Qualified Health Center (FQHC)
  • Clairfield, TN
  • NPI 1013049469

  Physician Assistant

  Medicare reassignment NPD
• Dayspring Health Inc

  dba Dayspring Dental

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1871631804
  Medicare reassignment
• Dayspring Health, Inc.

  dba Dayspring Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1538867551
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1366934382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 BRISTOL HWY",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376865208",
            "telephone_number": "615-202-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123303",
            "telephone_number": "505-281-5180",
            "fax_number": "505-702-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377622343",
            "country_code": "US",
            "telephone_number": "615-202-3359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ADRIAN",
        "middle_name": "RICKETTS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1151615",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3603",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2026-0017",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100690300",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045211",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3603",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "TC954",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "RICKETTS",
            "middle_name": "KELLY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melinda Joy Davidson
• Ross Davidson
• Ross William Davidson, MA, LMFT
• Shawn E Davidson, DPT
• Susan Davidson, SLP
• Lea Davies, MD
• Gloria Elizabeth Davila
• Ricardo Davila, M.D.
• Davis Personal Care Services LLC
• Susan Davis Schreiner, LCSW

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.